KALEIDA HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201243199349305554
Schema version: 2011v1.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T14:50:23-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 Broadway 4th Floor	AddressLine1
City	Albany	City
State	NY	State
ZIP Code	122072974	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KALEIDA HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JON SWIATKOWSKI	InCareOfName
Name Control	KALE	NameControl
Phone	7168598501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Joseph M Kessler	Name
Title	EVP and CFO	Title
Date Signed	2012-11-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5184274600	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES KASKIE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	726 Exchange Street Suite 200	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1342053977	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KALEIDAHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	KALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S 8 COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT 5 ACUTE CARE, 2 LT CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	9966	TotalNbrEmployees
Total Nbr Volunteers	1062	TotalNbrVolunteers
Total Gross UBI	3471041	TotalGrossUBI
Net Unrelated Business Txbl Income	-56623	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	33453390	ContributionsGrantsPriorYear
Contributions Grants Current Year	18385104	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1083912619	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1077197344	ProgramServiceRevenueCY
Investment Income Prior Year	5115295	InvestmentIncomePriorYear
Investment Income Current Year	15876877	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9240906	OtherRevenuePriorYear
Other Revenue Current Year	7627938	OtherRevenueCurrentYear
Total Revenue Prior Year	1131722210	TotalRevenuePriorYear
Total Revenue Current Year	1119087263	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	240200	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	392500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	605535584	SalariesEtcPriorYear
Salaries Etc Current Year	627869038	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	490988871	OtherExpensePriorYear
Other Expenses Current Year	503822481	OtherExpensesCurrentYear
Total Expenses Prior Year	1096764655	TotalExpensesPriorYear
Total Expenses Current Year	1132084019	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	34957555	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12996756	RevenuesLessExpensesCY
Total Assets BOY	1029678448	TotalAssetsBOY
Total Assets EOY	1073480481	TotalAssetsEOY
Total Liabilities BOY	770656008	TotalLiabilitiesBOY
Total Liabilities EOY	938525536	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	259022440	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	134954945	NetAssetsOrFundBalancesEOY
Mission Description	KALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVING THE COMMUNITIES OF WESTERN NEW YORK STATE AT VARIOUS LEVELS AND WITH FACILITIES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. KALEIDA HEALTH IS A PRODUCT OF THE 1998 MERGER OF BUFFALO GENERAL HOSPITAL (BUFFALO GENERAL), MILLARD FILLMORE GATES CIRCLE HOSPITAL (MILLARD GATES), MILLARD FILLMORE SUBURBAN HOSPITAL (MILLARD SUBURBAN), WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO (WOMEN & CHILDREN'S), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). IN ADDITION TO THE FIVE KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. THE ABOVE FACILITIES OPERATE UNDER ONE TAX IDENTIFICATION NUMBER. OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BONDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEI	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	954291507	Expense
Grants	392500	Grants
Revenue	1080007475	Revenue
Description	See Attachment 1.	Description
Total Program Service Expense	954291507	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	489	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	9966	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JON SWIATKOWSKI	NamePerson
Telephone Number	7168598501	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT M ZAK
VICE CHAIRMAN	1.0	X	0	0	0
MATTHEW L BROWN
DIRECTOR	1.0	X	0	0	0
EVAN EVANS MD
DIRECTOR	1.0	X	50385	0	0
ROBERT J HALONEN PhD
DIRECTOR	1.0	X	0	0	0
DARREN J KING
DIRECTOR	1.0	X	0	0	0
JAMES KASKIE
PRES/CEO EX-OFFICIO WITH VOTE	38.0	X	1507356	0	48599	X
JOHN R KOELMEL
CHAIRMAN	1.0	X	0	0	0
DAVID A MILLING MD
DIRECTOR	1.0	X	0	0	0
HERMAN S MOGAVERO Jr MD
TREASURER	1.0	X	0	0	0
DALE N SCHUMACHER
DIRECTOR	1.0	X	0	0	0
FRANCISCO M VASQUEZ PhD
DIRECTOR	1.0	X	0	0	0
AMY L CLIFTON
DIRECTOR	1.0	X	0	0	0
KATHLEEN GRIMM MD
EX-OFFICIO WITHOUT VOTE	1.0	X	0	0	0
CHRISTOPHER T GREENE ESQ
DIRECTOR	1.0	X	0	0	0
ROBERT NOLAN
GENERAL COUNSEL	38.0		519340	0	27143	X
CONNIE VARI
COO	38.0		837087	0	76378	X
JOSEPH KESSLER
CFO	38.0		610837	0	225190	X
MARGARET PAROSKI MD
CMO	38.0		658864	0	0	X
D ERIC POGUE
CHIEF HUMAN RESOURCE OFFICER	38.0		293942	0	24654	X
TONI BOOKER
EVP HUMAN RESOURCES OFFICER	38.0		318027	0	79208	X
CHERYL KLASS
PRESIDENT-WCHOB	38.0		533146	0	101687		X
LAWRENCE ZIELINSKI
PRESIDENT-BGH	38.0		515382	0	61511		X
DONALD BOYD
SVP BUSINESS DEVELOPMENT	38.0		480716	0	65496		X
CHRISTOPHER LANE
PRESIDENT-MFS	38.0		389902	0	57051		X
TAMARA OWEN
PRESIDENT-MILLARD GATES	38.0		370039	0	70334		X
ANTHONY ZITO
PRESIDENT- DEGRAFF	38.0		285887	0	47608		X
JAMES FOSTER MD
CMO-WCHOB	38.0		398678	0	39423			X
STEPHANIE MANN MD
EMPLOYED PHYSICIAN	38.0		337373	0	13009			X
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN	38.0		430232	0	56179			X
VINCENT CALLANAN MD
EMPLOYED PHYSICIAN	38.0		415875	0	42684			X
KIEN LE MD
EMPLOYED PHYSICIAN	38.0		344628	0	19212			X
ANDRAS VARI MD
CMO - MFG	38.0		319237	0	57489				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9616933	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1112855	TotalOtherCompensation
Number Individuals GT100 K	387	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DELOITTE CONSULTING
250 EAST FIFTH ST PO BOX 5340	CINCINNATI	OH	452739626	CONSULTING	1943676
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	4262443
NUANCE COMMUNICATIONS INC
PO BOX 7247-6924	PHILADELPHIA	PA	191706924	DICTATION SERVICES	2225004
SODEXHO MANAGEMENT INC
PO BOXES 81049	WOBURN	NY	018131049	CLEANING & LAUNDRY	3934764
VIRTUAL RADIOLOGY
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	1373272

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	62	NumberOfContractorsGT100K
Related Organizations	1440819	RelatedOrganizations
Government Grants	10909787	GovernmentGrants
All Other Contributions	6034498	AllOtherContributions
Noncash Contributions	1550460	NoncashContributions
Total Contributions	18385104	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SERVICE REVENUE	623990	1073931308	1073931308
MANAGEMENT FEES	561000	144175		144175
LABORATORY SERV	621500	3121861		3121861

Field	Value	IRS element (for citing)
Total Program Service Revenue	1077197344	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5299981	TotalRevenueColumn
Related Or Exempt Function Income	-214904	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	102119	UnrelatedBusinessRevenue
Exclusion	$5,412,766	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2452507	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2452507	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2452507	TotalRevenueColumn
Unrelated Business Revenue	58483	UnrelatedBusinessRevenue
Exclusion	$2,394,024	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	233504672	Securities
Other	38938	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	222951714	Securities
Other	15000	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	10552958	Securities
Other	23938	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10576896	TotalRevenueColumn
Exclusion	$10,576,896	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
VENDOR REBATES	900099	1716704	1716704
UNIVERSITY LEASE INCOME	531120	706584		$706,584
CAFETERIA	722210	19		$19

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2752124	TotalRevenueColumn
Related Or Exempt Function Income	1308331	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	44403	UnrelatedBusinessRevenue
Exclusion	$1,399,390	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5175431	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1119087263	TotalRevenueColumn
Related Or Exempt Function Income	1076741439	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3471041	UnrelatedBusinessRevenue
Exclusion	$20,489,679	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	392500	Total
Program Services	392500	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7320524	Total
Management And General	7320524	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	465805687	Total
Program Services	426379255	ProgramServices
Management And General	39426432	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	27965913	Total
Management And General	27965913	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	91160564	Total
Program Services	63629940	ProgramServices
Management And General	27530624	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	35616350	Total
Program Services	32136412	ProgramServices
Management And General	3479938	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2459903	Total
Program Services	1219912	ProgramServices
Management And General	1239991	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	505000	Total
Management And General	505000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	275458	Total
Management And General	275458	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	108615768	Total
Program Services	93701120	ProgramServices
Management And General	14914648	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2668246	Total
Program Services	1168241	ProgramServices
Management And General	1500005	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3319021	Total
Program Services	2269298	ProgramServices
Management And General	1049723	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6656969	Total
Program Services	3463879	ProgramServices
Management And General	3193090	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	886421	Total
Program Services	573125	ProgramServices
Management And General	313296	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	10227620	Total
Program Services	8175244	ProgramServices
Management And General	2052376	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	56640799	Total
Program Services	45312639	ProgramServices
Management And General	11328160	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	21846661	Total
Program Services	16592881	ProgramServices
Management And General	5253780	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
HEALTH CARE SUPPLIES	186446356	186290843	155513
BAD DEBT EXPENSE	16735993	16735993
EQUIPMENT RENTAL & MAINT	26012721	11677670	14335051
UTILITIES	10191963	8172285	2019678

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	50333582	Total
Program Services	36400270	ProgramServices
Management And General	13933312	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1132084019	Total
Program Services	954291507	ProgramServices
Management And General	177792512	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	534416	BOY
EOY	475006	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	96742771	BOY
EOY	77494154	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	135996337	BOY
EOY	133854817	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	21909693	BOY
EOY	19127555	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	9924277	BOY
EOY	10999998	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1528394248	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1065438554	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	336098175	BOY
EOY	462955694	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	215985857	BOY
EOY	183086445	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	212486922	BOY
EOY	185486812	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1029678448	BOY
EOY	1073480481	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	137940657	BOY
EOY	140360464	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	188175482	BOY
EOY	177398754	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	35624187	BOY
EOY	106426054	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	408915682	BOY
EOY	514340264	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	770656008	BOY
EOY	938525536	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	130649199	BOY
EOY	31887201	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	112973024	BOY
EOY	87667527	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15400217	BOY
EOY	15400217	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	259022440	BOY
EOY	134954945	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1029678448	BOY
EOY	1073480481	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-12996756	ReconcilationRevenueExpenses
Reconcilation Other Changes	-111070739	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$35,458	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$240,000	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	275458	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY	Identifier
Return Reference	SCHEDULE C, PART II-B, QUESTIONS 1F AND 1G	ReturnReference
Explanation	THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS THE PORTION OF THE DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION AND THE PORTION OF DUES PAID TO THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1G REPRESENTS PAYMENTS MADE TO ORGANIZATIONS IN AN EFFORT TO ADVOCATE ON THE ORGANIZATION'S BEHALF AT THE NEW YORK STATE AND FEDERAL LEVELS AS IT SPECIFICALLY RELATES TO HEALTH CARE LEGISLATION AND REGULATORY ISSUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	72587179	BeginningOfYearBalance
Contributions	5877436	Contributions
Investment Earnings Or Losses	28660	InvestmentEarningsOrLosses
Other Expenditures	31497652	OtherExpenditures
End Of Year Balance	46995623	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	79899854	BeginningOfYearBalance
Contributions	14188339	Contributions
Investment Earnings Or Losses	2153889	InvestmentEarningsOrLosses
Other Expenditures	23654903	OtherExpenditures
End Of Year Balance	72587179	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23068508	BeginningOfYearBalance
Contributions	71865683	Contributions
Investment Earnings Or Losses	3656737	InvestmentEarningsOrLosses
Other Expenditures	18691074	OtherExpenditures
End Of Year Balance	79899854	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28374857	BeginningOfYearBalance
Contributions	4858154	Contributions
Investment Earnings Or Losses	-5863675	InvestmentEarningsOrLosses
Other Expenditures	4300728	OtherExpenditures
End Of Year Balance	23068608	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.38550	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.61450	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8697769	OtherCostOrOtherBasis
Book Value	8697769	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	392080504	OtherCostOrOtherBasis
Depreciation	310186841	Depreciation
Book Value	81893663	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1114931833	OtherCostOrOtherBasis
Depreciation	746559434	Depreciation
Book Value	368372399	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12684142	OtherCostOrOtherBasis
Depreciation	8692279	Depreciation
Book Value	3991863	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	462955694	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (26 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
VAR PUBL TRADED SECURITIES	84453285	F
BRANDES INTERNATIONAL EQUITY	6780537	F
INTECH RISK-MANAGED L CAP FUND	4091012	F
FEDERAL ST ASSOC OFFSHORE FUND	599940	F
MCM CF GLOBAL ALPHA I FUND	3611220	F
WTC CTF RESEAR VALUE PUR 4/06	4196015	F
BENCHMARK PLUS INST PART L CAP	6288408	F
WTC CIF OPPORTUNISTIC FUND	8206871	F
CHARITABLE TEMPORARY INVEST FD	9	F
KALEIDA MIT COMMON FUND LP	154709	F
COMMON CAP VENTURE PTNRS VI	313296	F
COMMON FND CAP PRIVATE EQ P V	324088	F
KALEIDA MIT REALITY LP	777599	F
KALEIDA SI REALITY LP	1383067	F
DWS GLOBAL COMMODITIES	8001830	F
ROBECO GLOBAL EMERGING MARKETS	5342611	F
AQR GLOBAL RISK	5807283	F
PANAGORA RISK PARITY TOTAL RET	7676940	F
AAM HIGH YIELD TOTAL RET FUND	4704078	F
PICTET LOCAL EMERGING	8244468	F
ABERDEEN EMERGING MARKETS	2997058	F
PERMAL FIXED INCOME HOLDING	4807899	F
CRESTLINE OFFSHORE FUND	5197782	F
PUTNAM TOTAL RETURN FUND	7615367	F
AQR GLOBAL RISK PREM OFFSHORE	1511073	F
ARDEN ENDOWMENT ADVISORS CL G	0	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	183086445	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING	12193502
EQUITY IN UNCONSOLIDATED AFFIL	117662711
OTHER RECEIVABLES	12724695
OTHER ASSETS	14521374
INSURANCE RECOVERIES REC.	9077792
LONG TERM GRANT FROM HEAL NY	19306738

Field	Value	IRS element (for citing)
Total Book Value Other Assets	185486812	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTY PAYORS	$21,910,117
SELF INSURANCE LIABILITY	$161,174,158
LINE OF CREDIT	$10,000,000
OTHER LIABILITIES	$22,022,932
PENSION LIABILITY	$264,766,842
ASSET RETIREMENT OBLIGATIONS	$13,030,337
CAPITAL LEASE OBLIGATIONS	$8,146,233
CONSTRUCTIONS PAYABLE	$13,289,645

Field	Value	IRS element (for citing)
Total Of Amounts	514340264	TotalOfAmounts
Total Revenue	1119087263	TotalRevenue
Total Expenses	1132084019	TotalExpenses
Excess Or Deficit For Year	-12996756	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-11418642	NetUnrealizedGLOnInvestments
Other	-$7,923,670	OtherAmount
Total Adjustments	-19342312	TotalAdjustments
Excess Or Deficit Per FS	-32339068	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1107792402	TotRevenueEtcAuditedFinclStmt
Other Revenues	-702686	OtherRevenues
Revenue Not Rptd F990	-702686	RevenueNotRptdF990
Revenue Subtotal	1108495088	RevenueSubtotal
Other Revenues Not Included	10592175	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	10592175	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1119087263	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1140131470	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	11418642	OtherExpensesIncluded
Expenses Not Rptd F990	11418642	ExpensesNotRptdF990
Expenses Subtotal	1128712828	ExpensesSubtotal
Other Expenses Not Included	3371191	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	3371191	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1132084019	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 FOOTNOTE	SCHEDULE D, PART X, QUESTION 2	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT REPORT ANY LIABILITY OR HAVE ANY FOOTNOTE REPORTING THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.
INTENDED USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, QUESTION 4	THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 3) SUPPORT PEDIATRIC HEALTH CARE SERVICES
RECONCILIATION OF CHANGE IN NET ASSETS FROM 990 TO AUDITED FINANCIAL STMTS	SCH. D, PART XI, LINE 8	LESS: MINORITY INTEREST IN SUB <702,686> LESS: CONTRIBUTIONS FOR CAPITAL ACQUIS <3,443,169> LESS: RESTRICTED CONTRIBUTIONS <5,877,436> LESS: RESTRICTED INVESTMENT INCOME <1,271,570> PLUS: NET ASSETS RELEASED FROM RESTRICTION 3,371,191 --------- TOTAL: <7,923,670>
OTHER REVENUE INCLUDED ON BOOKS BUT NOT ON RETURN:	SCH D, PART XII, LINE 2D	MINORITY INTEREST IN SUBSIDIARY <702,686>
OTHER REVENUE ON RETURN BUT NOT ON BOOKS	SCH D, PART XII, LINE 4B	CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 3,443,169 RESTRICTED CONTRIBUTIONS 5,877,436 RESTRICTED INVESTMENT INCOME 1,271,570 ------------ TOTAL : 10,592,175
OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURN	SCH D, PART XIII, LINE 2D	UNREALIZED LOSSES ON INVESTMENTS 11,418,642
OTHER EXPENSES ON RETURN BUT NOT ON BOOKS:	SCHEDULE D, PART XIII, LINE 4B	NET ASSETS RELEASED FROM RESTRICTIONS 3,371,191

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17683287	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3157700	DirectOffsettingRevenue
Net Community Benefit Expense	14525587	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	285376934	TotalCommunityBenefitExpense
Direct Offsetting Revenue	209231604	DirectOffsettingRevenue
Net Community Benefit Expense	76145330	NetCommunityBenefitExpense
Percent Of Total Expense	0.06830	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	303060221	TotalCommunityBenefitExpense
Direct Offsetting Revenue	212389304	DirectOffsettingRevenue
Net Community Benefit Expense	90670917	NetCommunityBenefitExpense
Percent Of Total Expense	0.08130	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4888236	TotalCommunityBenefitExpense
Net Community Benefit Expense	4888236	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44411529	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21089778	DirectOffsettingRevenue
Net Community Benefit Expense	23321751	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34823901	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11788237	DirectOffsettingRevenue
Net Community Benefit Expense	23035664	NetCommunityBenefitExpense
Percent Of Total Expense	0.02070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	84123666	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32878015	DirectOffsettingRevenue
Net Community Benefit Expense	51350856	NetCommunityBenefitExpense
Percent Of Total Expense	0.04610	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	387183887	TotalCommunityBenefitExpense
Direct Offsetting Revenue	245267319	DirectOffsettingRevenue
Net Community Benefit Expense	142021773	NetCommunityBenefitExpense
Percent Of Total Expense	0.12740	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$11,130,866	BadDebtExpenseAmount
Amount Attributable To	811440	AmountAttributableTo
Amount Reimbursed By Medicare	173929114	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	170383025	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	3546089	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (11 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MFSC LLC
PHYSICIAN SERVICES	0.51000	0.49000
COMMUNITY MEDICAL PC
PHYSICIAN SERVICES		1.00000
GENERAL PHYSICIANS P
PHYSICIAN SERVICES		1.00000
HARLEM ROAD LEASING
MRI EQUIPMENT LEASING	0.50000
AMTON IMAGING LLC
HEALTH CARE SERVICES	0.40000
PARK CLUB LANE LLC
HEALTH CARE SERVICES	0.30000
WNY HEALTHENET LLC
HEALTH CARE SERVICES	0.14286
CHILD HEALTH INV I
HEALTH CARE SERVICES	0.02972
CHILD HEALTH INV II
HEALTH CARE SERVICES	0.01107
SITE E LLC
REAL ESTATE LEASING CO.	0.50225
NORTHTOWNS VENTURE L
HEALTH CARE SERVICES	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital
BUFFALO GENERAL HOSPITAL
1	100 HIGH STREET	BUFFALO	NY	14203	X	X	X	X
Women & Children's Hospital of Buffalo
2	219 Bryant Street	Buffalo	NY	14222	X	X	X	X	X
Millard Fillmore Suburban Hospital
3	1540 Maple Road	Williamsville	NY	14221	X	X		X
Millard Fillmore Gates Circle Hospital
4	3 Gates Circle	Buffalo	NY	14209	X	X	X	X
Degraff Memorial Hospital
5	445 Tremont Avenue	North Tonawanda	NY	14120	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Permit Other ActionsPermitOtherActions	Collection ActivitiesCollectionActivities	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Other ActionsOtherActions	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Other Actions TakenOtherActionsTaken	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
BUFFALO GENERAL HOSPITAL
1	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Women & Children's Hospital of Buffalo
2	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Millard Fillmore Suburban Hospital
3	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Millard Fillmore Gates Circle Hospital
4	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Degraff Memorial Hospital
5	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	30	NumberOfOtherFacilities

Other Facilities OtherFacilities (30 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Deaconess Skilled Nursing Facility
1001 Humboldt Parkway	Buffalo	NY	14208	Inpatient Skilled Nursing Facility
Center for Laboratory Medicine
115 Flint Road	Amherst	NY	14226	Hospital based lab services
MFSC LLC Ambulatory Surgery Center
215 Klein Road	Williamsville	NY	14221	Freestanding surgery Center
Community Mental Health Center
1010 Main Street	Buffalo	NY	14203	Hospital based outpatient behavorial health services
WCHOB Women's Health Center
239 Bryant Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Amherst General
4955 North Bailey Avenue Suite 207	Amherst	NY	14226	Hospital based outpatient diagonstic services
Pediatric Dental Center
515 Abbott Road	Buffalo	NY	14220	Hospital based outpatient primary care services
North Buffalo Medical Park
900 Hertel Avenue	Buffalo	NY	14207	hospital based outpatient Primary care services
Deaconess Family Planning Center
1001 Humboldt Parkway	Buffalo	NY	14208	Family planning services
WCHOB Specialty Clinics
140 Hodge Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Buffalo Therapy Services
115 Flint Road	Amherst	NY	14226	Hospital based outpatient therapy services
DeGraff Memorial Hospital Wellness Cntr
415 Tremont Street	North Tonawanda	NY	14120	Hospital based outpatient therapy services
WCHOB Hodge Pediatrics
125 Hodge Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Stanley Makowski SBHC
1095 Jefferson Avenue	Buffalo	NY	14214	School based primary care services
Towne Garden Pediatrics
461 William Street	Buffalo	NY	14204	Hospital based outpatient primary care services
Sterling Medical Park
200 Sterling Drive	Orchard Park	NY	14127	Hospital Based outpatient primary care services
Lancaster Addictions Clinic
11 West Main Street	Lancaster	NY	14127	Hospital based outpatient behavorial health services
Dr M L King SBHC
487 High Street	Buffalo	NY	14211	School based primary care services
Buffalo Elem School of Technology
414 S Division Street	Buffalo	NY	14204	School based primary care services
Herman Badillo SBHC
315 Carolina Street	Buffalo	NY	14201	School based primary care services
Bennett High SBHC
2885 Main Street	Buffalo	NY	14214	School Based primary care services
BUILD Academy SBHC
340 Fougeron Street	Buffalo	NY	14211	School based primary care services
Hillery Park SBHC
72 Pawnee Parkway	Buffalo	NY	14210	School based primary care services
Dr Lydia Wright SBHC
106 Appenheimer Street	Buffalo	NY	14214	School based primary care services
Westminster Community SBHC
24 Westminster Avenue	Buffalo	NY	14215	School based primary care services
WCHOB Preschool Programs
1653 Kensington Avenue	Buffalo	NY	14215	Hospital based outpatient primary care services
South Park High SBHC
150 Southside Parkway	Buffalo	NY	14220	School based primary care services
Futures Academy SBHC
295 Carlton Street	Buffalo	NY	14204	School based primary care services
Grover Cleveland High SBHC
110 Fourteeth Street	Amherst	NY	14213	school based primary care services
WCHOB Early Childhood Direction Center
3131 Sheridan Avenue	Buffalo	NY	14226	School based primary care services

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 3C	Kaleida Health (Kaleida) has developed, implemented and communicates its Financial Assistance (Charity Care) policy, which assists low income, uninsured or underinsured individuals who lack the financial resources to pay for medical services rendered. Levels of discounts are awarded based upon income and asset verification and in accordance with the Federal Poverty Guidelines as published annually by the U.S. Department of Health and Human Services. Individuals are notified during admissions and registration of Kaleida's Charity Care program. After review of income and assets, an individual may be approved for free care (100% discount) or a discount level of 50, 60, 75, or 90%, for medically necessary inpatient, outpatient, emergency room or nursing home services rendered at a Kaleida facility, as follows: Less than 200% of Federal Poverty Guideline is awarded 100% discount 200% - 249% of Federal Poverty Guideline is awarded 90% discount 250% - 299% of Federal Poverty Guideline is awarded 75% discount 300% - 349% of Federal Poverty Guideline is awarded 60% discount 350% - 400% of Federal Poverty Guideline is awarded 50% discount The applicant for free or reduce price care is contacted by a facilitated enroller for financial screening and enrollment in a government-funded program, if eligible, while in the hospital if inpatient or shortly after their visit.
PART I, LINE 6	Kaleida Health's 2011 Community Benefit Report is a separate report prepared by the organization.
PART I, LINE 7	The amounts reported in the table under Part 1, Line 7 were determined using the Health System's Decision Support software program and revenue and expenses from the general ledger. The overall revenue and expenses included in the decision support software program were reconciled to the general ledger which reconciles to the audited financial statements. The decision support software program allocates direct costs to each patient account based on the resources used by that patient within the specific cost center. Indirect costs are allocated using similar stepdown methodology used by CMS in the Institutional Cost Report.
Part I, Line 7G	There are no costs attributable to a physician clinic included in Subsidized Health Services.
Part I, Line 7, Column (F)	Total Bad Debt expense subtracted from total expenses in the determination of calculating the percentage of Total Expense is $16,735,993.
Part II, Community Building Activities	Kaleida Health is actively engaged in protecting our community through emergency preparedness. Kaleida Health has taken the lead with community and international partners to increase the Western New York region's level of readiness for any crisis that may occur, including organizing and conducting internal and external emergency drills. Community partners include local law enforcement and fire departments, the United States Postal Service, Erie County Department of Health, Niagara County Department of Health, Erie County Hazmat Organization, local universities and the International Joint Commission [for Emergency Response] involving Erie County, Niagara County and the Niagara Province of Ontario, Canada, among other organizations. Kaleida Health's Emergency Management Department provides leadership training and programmatic services for other healthcare organizations throughout the region. The Department assisted with creation of a Regional Mutual-Aid Agreement between 26 healthcare organizations in Western New York. The Mutual-Aid Agreement makes it possible for the healthcare organizations to share resources with one another during a disaster. Kaleida Health's emergency management activities promote the health of the communities we serve by ensuring that citizens, businesses and non-profit organizations are well prepared for all hazards. Kaleida Health conducts physician workforce planning and actively recruits physicians to medical shortage/underserved areas. A medical staff development plan is established based on community need in our service area. Community need is based on the total number of physicians providing medial services to the area, not only those physicians that staff our hospitals.
Part III, Line 4	Charity Care and Bad Debt Expense Footnote Kaleida provides care to patients who meet certain criteria under its charity care policies without charge or at amounts less than their established rates. Because Kaleida does not anticipate collection of amounts determined to qualify as charity care, they are not reported as revenue. Kaleida grants credit without collateral to patients, most of whom are local residents and are insured under third-party arrangements. Additions to the estimated allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental healthcare coverage, and other collection indicators. Costing Methodology Used in Determining the Amounts Reported on Lines 2 and 3 of Part III and the Rationale for Including a Portion of Bad Debt Amounts as Community Benefit Bad Debt Expense is recorded using the valuation method as outlined in Healthcare Financial Management Association Statement 15, which requires bad debt expense to be recorded at the amount that the payer is expected to pay. In order to report the costs associated with bad debt expense, the reported bad debt expense needs to be adjusted so that the amount expected to be paid reflects gross charges, prior to the application of an RCC. Kaleida Health adjusts bad debt expense prior to the application of an RCC so that the reported bad debt expense at cost, on Part III, line 2 of IRS Form 990, Schedule H reflects the true cost of the bad debts. The organization has a Charity Care Policy, and any write-offs as a result of this policy are recorded as Charity Care Allowances and are a reduction of the New Patient Revenue. Individuals who may quality for Charity Care assistance under the policy, but do not volunteer to complete the application process would not be granted Charity Care assistance. Beginning on April 1, 2010, Kaleida Health implemented a presumptive eligibility process, whereby, each charity care applicant is scored and based on this score, charity care may be awarded. Kaleida Health, in implementing the presumptive eligibility process, determined that 27% of self-pay bad debt expense in 2011 would have been eligible for charity care assistance. Therefore, we believe that the level of charity care included in bad debt expense to be approximately $811,440. We estimated this amount by using the 2011 calculated presumptive eligibility percentage on bad debt write-off's amounts over $500 (27%), and applied this percentage to those bad debt write-off's amounts under $500, to determine the bad debt write-off's that would have been eligible, if they were scored using the presumptive eligibility process. Bad debt is not included as community benefit.
Part III, Line 8	There are no Medicare shortfalls included in the calculation of community benefit. Costing methodology used to determine the Medicare allowable costs reported in the Medicare Cost Report, as reflected in Part III, line 6. Kaleida Health used the filed, but unaudited 2011 CMS Medicare Cost Report to determine the amounts reported on these lines.
Part III, Line 9A	Only after patient's liability has been determined following processing of applications for government assistance, charity care, and/or insurance carrier remittance will the patient statement be mailed for payment recovery. Kaleida Health has implemented a pre-collection process for accounts with an insurance balance of zero, a positive patient balance greater than $4.99, and a first bill date older than 60 days but not previously paid in full by the patient (excluding accounts for patients that have submitted a completed application for Charity Care, Medicaid, Family Health Plus or Child Health Plus, and an eligibility determination is pending).
Part III, Line 9B	When the financial assistance policies and options are reviewed with the patient or at the time that a patient expresses a financial concern, the patient will be offered the opportunity to apply for charity care. Once the patient submits the completed charity care application, the account is placed on hold and all collection activities are suspended until an eligibility determination is made. If the patient is eligible for charity care, then the patient is notified of the level of charity care awarded. If 100% charity care is awarded, then no bill is sent to the patient. If less than 100% charity care is awarded, then the patient will receive a bill pursuant to the private pay collection policy.
Part V, Section B	All of the Hospital Facilities of Kaleida Health share the same financial assistance policies. As such, the additional information provided for Part V, Section B, lines 11h, 13g, 15e, 16e, 17e, 19D, and 21 applies each of the hospital facilities listed. Part V, Line 11H Method used to determine the amount that reasonably could be attributable to patients who would likely qualify for financial assistance under the financial assistance policy, if sufficient information had been available to make a determination of their eligibility: Kaleida recognizes that, as a benefit to the Communities that they serve, that some patients are unable to or unwilling to ask for financial assistance due to barriers to applying for assistance such as educational level and literacy, documentation limitations, fear of application processes and general apathy. Kaleida is willing to extend benefit to those patients that face these barriers based on the best information that can be gathered about the guarantor. Kaleida intends to process patient accounts for presumptive charity scoring at the completion of the revenue cycle and after eligibility efforts for alternative funding or public assistance have been exhausted. The PARO model utilizes public record data and returns information that is utilized to determine characteristics for the consumer. PARO is designed to identify patients likely to qualify for financial assistance based on a predictive model and other financial and asset estimates for the patient derived from public record sources. In the absence of additional information from the patient, this rule set is applied to all patients exiting the revenue to determine which patients would have likely qualified for financial assistance. Based on the analysis of historical data from Kaleida, PARO derived the following rules to define guarantor eligibility for presumptive charity: 1) PARO Score - The PARO charity score is a predictive model that defines the likely socio-economic conditions for the patient. This score is based on public record data for the consumer. AND 2) Estimated Federal Poverty Level - This is an estimate of the ratio of the patient household against the Federal Poverty Level as defined by HHS. This is derived from estimated household size and estimated household income. This ratio for Kaleida was adjusted to represent local cost of living and historical approvals. AND 3) The 3rd party data which is gathered must not indicate that the patient is a homeowner or probable homeowner. Although the traditional charity policy may not consider homeownership as an excluding factor to charity qualification, the application of presumptive charity typically excludes homeownership status for approval in the absence of additional information from the patient. All three factors must be met in order for the patient to qualify for presumptive charity. If a patient does not qualify under these rules, the patient may engage in the traditional charity policy in order to be considered for charity care.
Part V, Line 13G	Financial Aid Information Included on Bill and Statements Information that explains how qualified patients can access financial assistance through the hospital are included on bills and statements to patients. Application materials include a notice to patients that once they submit a completed application and documentation, they may disregard any bills until the Hospital has rendered a written decision on the application. The Hospital may not forward accounts to collection while and application is pending.
Part V, Line 15E	Upon verification of employment wages will be garnished.
Part V, Line 16E	Upon verification of employment, the agency will garnish wages on Kaleida Health's behalf.
Part V, Line 17E	Notification through Kaleida Health website and brochures.
Part V, Line 19D	The amounts billed are calculated using the Medicare rate, Medicaid rate or highest volume commercial payor rate.
Part V, Line 21	Uninsured patients who are eligible for a our charity care program will be offered our self-pay rate in accordance with Public Health Law section 2807-K(9-a). The patient will be responsible for the established rate or total charges (whichever is less) minus the charity care award. If 100% charity care is awarded, then no bill is sent to the patient.
Community Health Needs Assessment Process	Kaleida Health assesses the health of the communities we serve through a variety of means, including but not limited to consideration of the following community health needs assessments: * Kaleida Health: Community and Provider Health Care Assessment (January 2008): Kaleida sponsored and published a population-based, cross- sectional house-to-house community health needs assessment of 2,000 heads of households in medically underserved City of Buffalo neighborhoods. Of these households, 1,658 community residents participated in the survey. The purpose was to gather data from community residents on health care, provide information on how health care may be improved to best serve the community's needs, and identify what works well and what does not in the local health care environment for these residents, from their perspective. Additional data was gathered from community-based primary care providers to identify opportunities for collaboration on disease prevention for patients under their care. * Erie County Department of Health's Community Health Assessment (March 2010): Includes demographic and health status information for the population, including disease prevalence, incidence, health resources and service utilization, profiles of community resources, behavioral risk factors, unmet need for services, local health priorities, and opportunities for action in Erie County. * Niagara County Department of Health's Community Health Assessment (September 2009): Includes demographics, description of populations at risk, disease prevalence, incidence, access to care, problems and issues in the community, local health priorities, accomplishments and opportunities for action in Niagara County. * Project CODA: Creating Options for Dignified Aging in Erie and Niagara Counties (June 2009): A locally driven elderly-centered strategy based upon in-depth research on the demographics and specific needs and wants of elders, caregivers and service providers. The assessment provides an overview of the existing long-term care system in Erie and Niagara counties, forecasts the future of long-term care, and identifies models to project future economic and demographic trends, likely shifts in public policies and projections of future changes in consumer preferences and demand for aging services. * Western New York Health Care Safety-Net Assessment (February 2008): An assessment of access, consumer experience and health information technology. The assessment offers a description of the primary care safety-net in the region, assesses access and the safety-net's overall capacity and strength, assesses consumer's experience with their primary care, and determines the information technology capacity of the primary care safety net. * Reaching for Excellence: Community Vision and Voices for WNY Health Care (July 2009): A community health assessment that incorporates the perspective of the community and users of the health care system in current health care strategy development. More than 1700 Western New Yorkers were engaged in a series of community conversations about what consumers want for the future of health care in the region. The conversations resulted in 5 health care priorities, reflecting the top concerns of the region across race, ethnicity, age, income and geography. Secondary level quantitative data include local surveys, U.S. census, U.S. Department of Health and Human Services' Community Health Status Indicators Report for NY (including Erie and Niagara Counties), among other assessments. Kaleida's team uses data from community health assessments, such as those above, to shape strategy for prioritizing its efforts and identifying areas of focus for the community benefit interventions. Many of the interventions adopted by Kaleida Health focus on populations with Disproportionate Unmet Health Needs (DUHN), including the elderly, low-income individuals and families, children and youth, and persons with special needs. The goals selected for each intervention are in support of local collaborative planning efforts when possible, and engage the breadth of Kaleida's community benefit programs.
Patient Education of Eligibility for Assistance	Kaleida Health informs individuals of available free or reduced price services at the time of registration into the inpatient, outpatient, emergency department, and long-term care facility. Posters informing the patient/family of assistance are available throughout the Kaleida locations. Brochures and pamphlets informing the community are widely distributed in the community at health fairs, churches, schools and other public locations. Information regarding the availability of financial assistance is also available through Kaleida's website. Kaleida Health offers assistance to individuals in our community for accessing affordable health care, including: * Facilitated Enrollment: Assists eligible individuals with health insurance enrollment by offering education and application assistance for Medicaid, Child Health Plus, Family Health Plus, Prenatal Care Assistance Program, and State Aid for Children with Special Needs. A dedicated telephone number is available and information is published in pamphlets at Kaleida sites and at various locations throughout the community. * Financial Assistance Program: As described above, the Kaleida Financial Assistance Program offers free or reduced-prices for patients treated at Kaleida Health hospitals, outpatient, emergency room, or long-term care facilities. Discounts are awarded based upon income and asset verification. Individuals who do not qualify for Medicaid, Child Health Plus, Family Health Plus, Prenatal Care Assistance Program, and/or State Aid for Children with Special Needs are considered for financial assistance (charity care).
Community Information	Headquartered in the City of Buffalo, Erie County, New York, Kaleida Health serves a region diverse in character. The eight counties of Western New York State, including Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Orleans, Niagara and Wyoming, range from rural areas and small towns to denser metropolitan cities. Within the primary service area of Erie and Niagara counties, there is a combined population of approximately 1.5 million people. There are also several federally designated Medically Underserved Areas, Medically Underserved Populations, and Health Professional Shortage Areas in the service area. Demographic Information - Erie County Erie County is the largest metropolitan county in upstate New York. It is home to three cities, 16 villages, 25 towns, and two Native American Indian reservations. While the majority of the population lives within the cities and surrounding communities, there is a significant rural population that resides outside the first and second ring suburban areas. According to the 2010 U.S. Census, the population of Erie County, including the City of Buffalo, is 919,040. The City of Buffalo is the largest city in the region and the second largest city in New York State. Buffalo, which serves as the County seat, has a population of 261,310 and is ranked the third poorest city in the nation. The population of Erie County has been declining over the past decade. In the year 2000, the population of Erie County was 950,265. This represents a decrease of more than 3% population between the years 2000 and 2010. According to the 2010 U.S. Census, 5.3% of the Erie County population are under the age of 5, 21.3% are under age 18, and 15.8% are age 65 and over. Compared to state and national age distributions, Erie County has a slightly lower percentage of young people and a higher percentage of people age 65 and older. However, the City of Buffalo population distribution is quite different from Erie County. In Buffalo, 23.6% of residents are under age 18 and 11.4% are age 65 and over. In Erie County, 51.8% of the population is female and 48.2% male. This distribution is similar to that of New York State. In the City of Buffalo there is a high percentage of females at 52.1% and lower percentage of males, 47.9%. According to the 2010 U.S. Census, 81.1% of the Erie County population is non-Hispanic Whites, 13.9% non-Hispanic African-Americans, 4.7% Hispanic, 0.7% Native Americans, and 2.7% Asian/Pacific Islanders. As per the 2005 - 2009 American Community Survey, the City of Buffalo has a much higher percentage of African Americans (39.8%) and Hispanics (8.3%) than the county. In the 2010 U.S. Census, the percentage of Hispanics increased so that the population is broken down as 50.4% Whites, 38.6% African-American, 10.5% Hispanic, 0.8% Native Americans, and 3.2% Asian/Pacific Islanders. Buffalo is home to a large immigrant and refugee population where there are 28 ethnicities and a minimum of 31 languages and dialects spoken. Lackawanna, New York, located just south of the City of Buffalo, is home to a large Arabian community, many of whom do not speak English as their first language. That corresponds with the fact that 13.7% of homes in the City of Buffalo and over 9% of the Erie County population speak a language other than English. The median household income in Erie County is $46,816, and the per capita income in 2010 was $26,378. The median earnings for male full-time workers is $46,807. The median earnings for female full-time workers is $36,858. For all families in Erie County, 10.4% are below the federal poverty level. For families with children under 18 years of age, 18.8% are below the federal poverty level. The likelihood of families living below the poverty level is compounded for female headed families that do not have a husband present. Of the 13.7% percent of families in Erie County that have a female head of household with no husband present, 29.3% are below the poverty level. For those families with children under 18 years of age, 41.8% are below the poverty level and 59.8% of these families with children under age 5 are below the poverty level. In the City of Buffalo, according to the 2010 U.S. Census, where poverty is more prevalent, the median household income is $28,490, which is almost $20,000 less than the County as a whole; and the per capita income in Buffalo is $19,117. In comparison, the median household income nationally is $50,221, and $55,603 for New York State. In Erie County, 14% of all residents live below the federal poverty level, which is very similar to New York State. In the City of Buffalo, 29.6% of residents are living below the federal poverty level. In addition, 7.6% of Erie County residents and 10.7% of Buffalo residents do not have health insurance. Of those residents who do have coverage, 34.3% and 48% respectively have public coverage, according to the 2010 U.S. Census. Demographic Information - Niagara County Niagara County is located just north of Erie County. Niagara County consists of 26 cities, towns and villages along with the Tuscarora Indian Reservation, which is located approximately in the middle of the county. The City of Niagara Falls is the most populated city in Niagara County, followed by North Tonawanda. According to the 2010 U.S. Census, Niagara County has a total population of 216,469, which has been declining in recent years. Niagara County demographics show the distribution of residents to be 88.9% White, 7% African-American, 1.1% Native American, and 0.9% Asian/Pacific Islander. The median household income for Niagara County is $43,991. English is the primary language for almost 94% of Niagara County residents. Niagara Falls is the largest city in Niagara County with 50,193 residents. The population of the City of Niagara Falls is 70.5% White, 21.6% African-American, 1.9% Native American, 3% Hispanic, and 01.2% Asian/Pacific Islander. The median income in Niagara Falls is $45,101. Families in the city who have children under 18 total 25.1%. There are also 19.8% of female headed households where with no husband, and of those 11.7% have children. As for education, of those over 25 years of age, 86.4% of adults graduated from high school and 13.8% earned college degrees; however, 13.7% did not complete high school. According to "Business First," the unemployment rate in Niagara Falls in January 2011 was 11.1%, one of the highest in Western New York. The poverty rates in Niagara Falls from 2005 - 2007 indicated that an overall 20.9% of residents live in poverty. Within this group, 27.7% of related children under age 18 and 33.8% of female headed households live below the federal poverty level. North Tonawanda is the second largest city in Niagara County with a total population of 31,568. The population is 96.5% Caucasian, 0.8% African-American, 0.4% Native American, 1.7% Hispanic, and 0.7% Asian/Pacific Islander. The median income in North Tonawanda is $44,345.
Organization and affiliates role in promoting community health	Kaleida Health's mission is to advance the health of the community. Kaleida Health's vision is to be the regional health care system providing exceptional quality services, with a commitment to education and research, accessible to all. The organization's values illustrate how these goals are achieved: Patient-Centered: We put patients and families first. Excellence: As a team, we pursue exceptional performance with passion. Accountability: We take personal responsibility for delivering results. Integrity: We demonstrate honesty in everything we do. To carry out the mission, Kaleida Health promotes community health. Much of the community benefit work is focused on the needs of low income, medically underserved populations. Kaleida Health representatives actively engage in various community health collaborations with local health departments, state health department and local not-for-profit health and human service agencies. Poverty trends, community health research and local community health needs assessments are reviewed on a regular basis while planning services and programs. Responsive to community priorities, program development and services fill identified gaps or supplement existing programs. Most Kaleida Health community health outreach programs are offered in partnership with other community organizations or government agencies in order to leverage resources and meet the community's needs. Information regarding the availability of community health programs, assistance with health insurance enrollment and financial assistance for medical care received at Kaleida Health hospitals, emergency departments, outpatient clinics or long-term care facilities is disseminated to the public in the annual Community Benefit Report and triennial Community Services Plan. These documents are available on the Kaleida Health website and in print form, which is available upon request. The Visiting Nursing Association of Western New York, Inc., Kaleida Health's home care affiliate, also works to promote the health of the community. This includes educating chronic care patients on self-management and personal care in areas such as rehabilitation services, nutrition education and therapy, infection control, falls risk assessment and intervention, and health education related to improved lifestyle choices for individuals and families in their homes and the community. Community-based prevention programs, such as one of the area's largest annual community influenza immunization program, also are offered through the Visiting Nursing Association.
Kaleida Health Board of Directors	Kaleida Health maintains community control over the corporation through its self-perpetuating, 14 member governing Board of Directors. The Board of Directors, the majority of whom reside in Western New York, is comprised of community leaders from the faith, business and industry, and healthcare sectors, including physicians who are on the medical staff. Each Director serves a three-year term and is not an employee, independent contractor, or family member of Kaleida Health.
State in which the organization files a community benefit report	New York State

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
ECMC LIFELINE FOUNDATION
462 GRIDER STREET	BUFFALO	NY	14215	223283946	501(C)(3)	15000	GOLF TOURNAMENT SPONSOR
UB FOUNDATION
3435 MAIN STREET	BUFFALO	NY	14231	160865182	501(C)(3)	7500	ABS PROGRAM
WNY CLINICAL INFO EXCHANGE
2568 WALDEN AVE	CHEEKTOWAGA	NY	14225	364594483	501(C)(3)	120000	CONTRIBUTION	SUITE 107
Community Foundation for Greater Buffalo
726 Exchange St 525	Buffalo	NY	14210	222743917	501(C)(3)	250000	Uncompensated Care

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	FORM 990, SCHEDULE I	Identifier
Return Reference	DESCRIPTON OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	ReturnReference
Explanation	KALEIDA HEALTH MAKES CONTRIBUTIONS TO ORGANIZATIONS IN WESTERN NEW YORK THAT ALSO HAVE HEALTH CARE RELATED ACTIVITIES. ALL CONTRIBUTIONS MUST BE APPROVED BY THE GOVERNING BODY BEFORE THE MONEY IS DISTRIBUTED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDRAS VARI MD
279362	0	39875	0	0	0	52274	0	5669	0	377180	0	0	0
JAMES KASKIE
911755	0	180000	0	415601	0	36438	0	15550	0	1559344	0	367856	0
ROBERT NOLAN
344136	0	51000	0	124204	0	14982	0	12808	0	547130	0	115704	0
CONNIE VARI
530985	0	54592	0	251510	0	71163	0	6084	0	914334	0	243010	0
JOSEPH KESSLER
474087	0	128250	0	8500	0	213029	0	12970	0	836836	0	0	0
MARGARET PAROSKI MD
420000	0	63000	0	175864	0	0	0	0	0	658864	0	150864	0
D ERIC POGUE
216142	0	69300	0	8500	0	22046	0	3036	0	319024	0	0	0
TONI BOOKER
251202	0	54325	0	12500	0	73993	0	5683	0	397703	0	0	0
JAMES FOSTER MD
326004	0	72674	0	0	0	39423	0	647	0	438748	0	0	0
STEPHANIE MANN MD
337373	0	0	0	0	0	9097	0	4559	0	351029	0	0	0
LUCY CAMPBELL MD
430232	0	0	0	0	0	50964	0	5908	0	487104	0	0	0
VINCENT CALLANAN MD
415875	0	0	0	0	0	30523	0	12881	0	459279	0	0	0
KIEN LE MD
344628	0	0	0	0	0	7051	0	12818	0	364497	0	0	0
CHERYL KLASS
402646	0	127000	0	3500	0	89526	0	12880	0	635552	0	0	0
LAWRENCE ZIELINSKI
262798	0	30525	0	222059	0	50364	0	11750	0	577496	0	127835	0
DONALD BOYD
332061	0	78000	0	70655	0	53335	0	12790	0	546841	0	62155	0
CHRISTOPHER LANE
300152	0	86250	0	3500	0	44890	0	12760	0	447552	0	0	0
TAMARA OWEN
297789	0	68750	0	3500	0	65119	0	5809	0	440967	0	0	0
ANTHONY ZITO
248012	0	34375	0	3500	0	35447	0	12700	0	334034	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
HEALTH OR SOCIAL CLUB DUES	SCHEDULE J, PART I, LINE 1A	AS PART OF THEIR COMPENSATION PACKAGE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES.
SEVERANCE PAYMENTS	SCHEDULE J, PART I, LINE 4A	FORMER PRESIDENT OF BGH, LAWRENCE ZIELINSKI, RECEIVED SEVERANCE PAYMENTS DURING THE YEAR IN THE AMOUNT OF $74,224.
EXECUTIVE DEFERRED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	DURING THE YEAR, THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN THE EXECUTIVE DEFERRED RETIREMENT PLAN: ROBERT NOLAN, CONNIE VARI, JOSEPH KESSLER, JAMES KASKIE, LARRY ZIELINSKI, DONALD BOYD, MARGARET PAROSKI, CHERYL KLASS, AND TONI BOOKER. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II COLUMNS (B)(III) AND (C). DURING 2011, THE FOLLOWING OFFICERS RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: CONNIE VARI $243,010 LARRY ZIELINSKI $127,835 JAMES KASKIE $367,856 ROBERT NOLAN $115,704 DONALD BOYD $62,155 MARGARET PAROSKI $150,864
COMPENSATION ARRANGEMENT CONTINGENT ON NET EARNINGS OF THE ORGANIZATION	SCHEDULE J, PART I, QUESTION 6A	THE ORGANIZATION PLACES A CERTAIN PORTION OF AN EXECUTIVES TOTAL AVAILABLE COMPENSATION AT RISK ANNUALLY AND A PROPORTION OF THAT AT-RISK AMOUNT IS DEPENDENT UPON THE CONSOLIDATED HEALTH SYSTEM ATTAINING CERTAIN OPERATING PERFORMANCE TARGETS BOTH FINANCIAL AND NON-FINANCIAL. DURING 2010, CERTAIN FINANCIAL OPERATING TARGETS WHICH WERE SET BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, INCLUDING TOTAL NET OPERATING MARGIN WERE MET AND EXCEEDED RESULTING IN COMPENSATION UNDER THIS ARRAGEMENT PAID TO OFFICERS AND KEY EMPLOYEES DURING 2011.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DORMITORY AUTHORITY - STATE OF NEW YORK
146000293	64983TQT3	2004-05-20	97405000	REFINANC BUFF GENERAL HOSP MORT	false	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
146000293	64983Q429	2006-09-21	81810000	RENOVATIONS TO FACILITIES	false	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
146000293		2006-09-28	16485005	EQUIPMENT PURCHASE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
25375000	97590469	29697680	0	1867994	0	0	0	88857475	1987	true	false	true	true
6660000	86265171	23707318	5074243	1213231	1836365	2067415	69802989	0	2008	false	false	true	true
11877177	16894022	0	0	83005	0	0	16811017	0	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
false	false	false	false	true
false	false	true	false	true	true
false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	true	BAYERISCHE LANDESBAN	11.5	true	true	true
0
false	false	false	true	MBIA INC	0.	true	true	false
0
false	false	false	false	0			false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART II, LINE 3	0	THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (e) DUE TO INVESTMENT EARNINGS THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4
PART IV, COLUMN B,LINE 4C	0	CONSTRUCTION FUND - 2.5 YEARS, RESERVE FUND - 4.4 YEARS.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Dr Andras Vari	NamePerson
Purpose Of Loan	See Part V	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$6,857,367	OriginalPrincipalAmount
Balance Due	6857367	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	6857367	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DELAWARE SURGICAL GROUP PC
SEE PART V	58494	SEE PART V	false
GREATER NEW YORK HOSPITAL ASSOCIATI
SEE PART V	34225	SEE PART V	false
JOCELYN VARI
SEE PART V	71565	SEE PART V	false
DAVID VARI
SEE PART V	44085	SEE PART V	false
BONNIE PLEUTHNER
SEE PART V	76488	SEE PART V	false
SUSAN EVANS
SEE PART V	68338	SEE PART V	false
Dr ANDRAS VARI
SEE PART V	319237	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	DELAWARE SURGICAL GROUP, PC, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DELAWARE SURGICAL GROUP, PC IS AN ENTITY IN WHICH A CURRENT BOARD MEMBER OF THE ORGANIZATION, EVAN EVANS, MD, ALSO HAS A PARTNERSHIP INTEREST AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (DELAWARE SURGICAL GROUP, PC) IN THE NORMAL COURSE OF BUSINESS. GREATER NEW YORK HOSPITAL ASSOCATION, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE CURRENT PRESIDENT/CEO OF THE FILING ORGANIZATION (KALEIDA HEALTH), JAMES KASKIE, WAS ALSO SERVING AS A BOARD MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCATION AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (GREATER NEW YORK HOSPITAL ASSOCIATION) PARTICIPATION DUES. JOCELYN VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOCELYN VARI IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (JOCELYN VARI) IN THE NORMAL COURSE OF BUSINESS TO FURNISH SERVICES AS PERFORMANCE IMPROVEMENT PROJECT COORDINATOR. DAVID VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID VARI IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (DAVID VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS AN EMPLOYEE RELATIONS SPECIALIST. BONNIE PLEUTHNER, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BONNIE PLEUTHNER IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (BONNIE PLEUTHNER) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A REGISTERED NURSE. SUSAN EVANS, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN EVANS IS A FAMILY MEMBER OF A BOARD MEMBER OF THE ORGANIZATION, EVAN EVANS, MD, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (SUSAN EVANS) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A DISCHARGE PLANNER. DR. ANDRAS VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. ANDRAS VARI IS THE HUSBAND OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2011, THE ORGANIZATION PAID THE INTERESTED PERSON (DR. ANDRAS VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF PHYSICIAN SERVICES.
LOANS TO INTERESTED PERSONS	SCHEDULE L, PART II	GENERAL PHYSICIANS, P.C. (GPPC) COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. ANDRAS VARI, AN INTERESTED PERSON TO KALEIDA HEALTH, IS 100% OWNER OF GPPC. COLUMN D - DESCRIPTION OF THE MORE TRANSACTION: DURING 2011, KALEIDA HEALTH LOANED GENERAL PHYSICIANS P.C. MONEY TO FUND FURTHER OPERATING INITIATIVES OF THE PHYSICIAN PRACTICES. THE LOAN WAS MADE TO ASSIST GENERAL PHYSICIANS P.C. TO PAY FOR COSTS OF ACQUIRING PRACTICES AND EMPLOYING PHYSICIANS AND STAFF AS WELL AS ONGOING OPERATING COSTS OF THE PRACTICE AND WILL BE REPAID TO KALEIDA ONCE GPPC HAS RE-ESTABLISHED ITS PATIENT BASE AND HAS THE ABILITY TO REPAY.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Various Medical equipment	Description
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	1550460	NoncashContribsRptdF990
Method Of Determining Revenues	Replacement cost	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DELEGATION OF CMO DUTIES	FORM 990, PART VI, SECTION A, LINE 3	DURING 2011, THE ORGANIZATION CONTRACTED WITH UNIVERSITY NEUROLOGY FOR THE SERVICES OF MARGARET PAROSKI IN HER CAPACITY AS CHIEF MEDICAL OFFICER (CMO) OF THE ORGANIZATION. PART OF HER ROLE AS CMO IS CONTROL OVER CERTAIN MANAGEMENT DUTIES WITH RESPECT TO EMPLOYED PHYSICIANS THAT CUSTOMARILY ARE PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS OR KEY EMPLOYEES.
REVIEW PROCESS FOR FORM 990	FORM 990, PART VI, SECTION B, QUESTION 11B	ORGANIZATION'S MANAGEMENT (A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OF DIRECTOR IN A POSITION WHERE THERE MAY BE A POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION.
COMPENSATION APPROVAL PROCESS	FORM 990,PART VI, SECTION B, QUESTION 15A AND B	ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED.
PROCEDURE TO EVALUATE JOINT VENTURE ARRANGEMENT	FORM 990, PART VI, SECTION B, QUESTION 16B	THE ORGANIZATION HAS NOT ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501 (C) (3) CHARITABLE ORGANIZATION - HOSPITAL 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS BEFORE THE JOINT VENTURE IS PURSUED, TO ENSURE THAT THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS AND TO SAFEGUARD THE ORGANIZATION'S TAX-EXEMPT STATUS. THE ORGANIZATION IS IN THE PROCESS OF FORMALIZING THE WRITTEN POLICY.
ACCESS TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION C, QUESTION 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990,PART XI, LINE 5	UNREALIZED LOSS ON INVESTMENTS (11,418,642) MINORITY INTEREST IN SUB. (702,686) UNREALIZED LOSS IN INV. AFFILIATES (5,954,542) INCREASE IN PENSION LIABILITY (92,290,908) TRANSFER FROM KALEIDA FOUNDATIONS 182,000 UNREALIZED LOSSES, TEMPORARILY RESTRICTED (137,414) UNREALIZED LOSSES, PERM. RESTRICTED (1,273,812) CHANGE IN VALUE OF FOUNDATIONS 525,265 ------------- TOTAL (111,070,739) -------------

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Total IncomeTotalIncome	EOY AssetsEOYAssets
KALEIDA HEALTH MCO LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570311	DORMANT	NY	KH
KALEIDA IPA LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570380	DORMANT	NY	KH
KALEIDA WNY I LLC
726 EXCHANGE STREET	BUFFALO	NY	14210	453189404	HEALTH CARE	NY	KH	-104754	202555
High St Medical Develop Associates LLC
350 Essjay Road Suite 101	WILLIAMSVILLE	NY	14221	161422533	MEDICAL	NY	GHC	22652	1184441

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MILLARD FILLMORE AMBULATORY SURGERY CTR
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161307129	SUPPORT ORG	NY	501(C)(3)	11A	KH	true
WATERFRONT HEALTH CARE CENTER
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161396236	HEALTH CARE	NY	501(C)(3)	9	NA	false
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CAR	NY	501(C)(3)	9	KH	true
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CAR	NY	501(C)(3)	9	KH	true
GENERAL HOME CARE (GHC)
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	DORMANT	NY	501(C)(3)	9	KH	true
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH	true
THE WOMEN & CHILDREN'S HOSP OF BFLO FDN
726 EXCHANGE STREET	BUFFALO	NY	14210	161332044	FUNDRAISING	NY	501(C)(3)	7	KH	true

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Code VCodeVAmount
MFSC LLC
100 HIGH STREET	BUFFALO	NY	14203	261582864	HEALTH CARE	NY	KH	EXCLUDED	919417	1799911	false	false	0.53301
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KH	UNRELATED	102119	154173	false	true	0.50000	$102,119
AMTON IMAGING LLC
PO BOX 1368	WILLIAMSVILLE	NY	14231	262925470	HEALTH CARE	NY	KALEIDAWNYI LLC	RELATED	-170004	119670	false	true	0.40000
PARK CLUB LANE LLC
2828 SHERIDAN DRIVE	TONAWANDA	NY	14150	271516155	HEALTH CARE	NY	KALEIDAWNYI LLC	EXCLUDED	65250	82885	false	true	0.30000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	116020	1675000	false	false	0.50225

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738483	PROP MGMT SERVICE	NY	KH	C Corp	619440	11540500	1.00000
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAG SERV	NY	KH	C Corp	-217	102006	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MILLARD FILLMORE AMBULATORY SURGICAL CENTER
E	55821
MILLARD FILLMORE AMBULATORY SURGICAL CENTER
C	402888
WATERFRONT HEALTH CARE CENTER
P	217509
VNA OF WESTERN NEW YORK
N	56094
VNA HOME CARE SERVICES
P	889352
VNA HOME CARE SERVICES
D	100638
VNA OF WESTERN NEW YORK
P	374845
VNA OF WESTERN NEW YORK
E	433899
MFSC LLC
D	51060
MFSC LLC
I	570257
KALEIDA PROPERTIES
P	204421
KALEIDA PROPERTIES
D	3575259
KALEIDA HEALTH FOUNDATION
C	2486092
KALEIDA HEALTH FOUNDATION
R	1153529
KALEIDA HEALTH FOUNDATION
E	83500
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
R	1224054
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
D	492642
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
C	989102
SITE E LLC
J	233450

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TRANSACTIONS WITH RELATED ORGANIZATIONS	SCHEDULE R, PART V, TRANSACTION TYPE C	THERE IS A VARIANCE BETWEEN THE AMOUNT REFLECTED ON PART VIII, LINE 1D (AND SCHEDULE B) - GIFTS, GRANTS AND CONTRIBUTIONS FROM THE FOLLOWING RELATED ORGANIZATIONS AND THE AMOUNT INCLUDED ON SCHEDULE R, PART V AS A RESULT OF THE VARIANCE IN TIMING OF THE RECORDING OF THE TRANSFER BETWEEN THE TWO ORGANIZATIONS. KALEIDA HEALTH FOUNDATION RECORDED GRANTS PAID TO THE FILING ORGANIZATION IN THE AMOUNT OF $2,486,092 (SEE SCHEDULE R, PART V) VERSUS THE $576,458 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B). THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION RECORDED GRANTS PAID TO THE FILING ORGANIZATION IN THE AMOUNT OF $989,102 (SEE SCHEDULE R, PART V) VERSUS THE $864,361 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B).
RELATED TAX EXEMPT ORGANIZATIONS	SCHEDULE R, PART II, NUMBER (2)	ON AUGUST 15, 2011, WATERFRONT HEALTH CARE CENTER ENTERED INTO A VOLUNTARY RECEIVERSHIP AGREEMENT WITH A THIRD PARTY OPERATOR AND THE NEW YORK STATE DEPARTMENT OF HEALTH. SINCE THAT DATE THE CENTER HAS BEEN UNDER THE DIRECT CONTROL AND OPERATION OF THE THIRD PARTY OPERATOR AND NOT KALEIDA HEALTH.